Provider Demographics
NPI:1467043604
Name:WHEELER, ASHLEY M (APRN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:M
Last Name:WHEELER
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6233 SEA AIR DR
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-3444
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 N LITCHFIELD RD STE 120
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-7802
Practice Address - Country:US
Practice Address - Phone:949-484-9517
Practice Address - Fax:949-569-1295
Is Sole Proprietor?:No
Enumeration Date:2021-01-31
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-82407-081363LF0000X
FLAPRN11005514363LF0000X
VT101.0136520363LF0000X
MARN10010786363LF0000X
TN36623363LF0000X
TX1145368363LF0000X
WI16025-33363LF0000X
PASP031310363LF0000X
AZ314396363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily